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Waiting List All Weeks
On this form you will fill in all registration information and provide which week(s) you are interested in
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Email
*
Your email
Which week of camp are you most interested in?
*
Week 1: June 30- July 1
Week 2: July 7-11
Week 3: July 14-18
Week 4: July 21-25
Week 5: July 28- August 1
Week 6: August 4- 8
Notes: Does your child have a friend or family member at camp during this week? if so who
Your answer
Are there other weeks you would consider if openings come available? Select any that apply
*
Week 1: June 30- July 1
Week 2: July 7-11
Week 3: July 14-18
Week 4: July 21-25
Week 5: July 28- August 1
Week 6: August 4- 8
Required
Notes: Does your child have friends or family members at camp that they would like to come with or could carpool with.
Your answer
Camper Last Name
*
Your answer
Camper First Name
*
Your answer
Camper Age
*
Your answer
Gender * used to help with grouping
*
Male
Female
Camper Shirt Size
*
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Guardian 1 Name
*
Your answer
Guardian 1 Cell Phone Number
*
Your answer
Guardian 2 Name
*
Your answer
Guardian 2 Cell Phone Number
*
Your answer
Is your child a returning camper?
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Yes
No
Does your child have an allergy that will require medication to be supplied to the camp?
*
Yes
No
I understand that submitting this form puts my child on the waiting list and does not secure them a spot for farm camp. You will be notified through text or email if a spot opens up.
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